*WESTWOOD  HIGH  SCHOOL  DANCE  DEPARTMENTS*   Presents  

Girls  Jazz  &  Hip-­‐Hop  Dance  Workshop  REGISTRATION      

Who:  Girls  in  5th  grades-­‐  8th  grades  (2014-­‐  15  school  year)   When:  Friday,  February  6th     Where:  Westwood  High  School  Dance  Studio   Time:  4pm-­‐  7pm       Cost:  $25/  student  &  $15/  additional  students   • The  cost  covers  dance  instruction,  water  bottle,  and  snack   • Workshop  t-­‐shirts  available  for  $10.  Shirts  will  be  delivered   immediately  after  workshop     Camp  Guidelines:     • Students  will  need  to  wear  clothes  that  allow  for  movement  with   socks  and  sneakers.  No  sandals.     • Students  will  need  to  bring  a  water  bottle  each  day  with  their  name  on   it.   • No  soda/juice,  gum  or  candy  allowed  at  dance  camp.   • Students  should  have  a  great  attitude  and  be  ready  to  dance.       Registration  Information:   • Please  drop  off  your  payment  and  registration  form  to:     ATTN:  Dance  Department   Westwood  High  School   180Turkey  Farm  Rd,  Blythewood,  SC  29016   (Veneshia  W.  Stribling-­‐  Dance  Teacher)     • Registration  Ends-­‐  Thursday,  February  5TH     Questions:  Contact  -­‐  Veneshia  Stribling  (Dance  Teacher)     [email protected]  803.691.4049      

*WESTWOOD  HIGH  SCHOOL  DANCE  DEPARTMENTS*   Presents  

Girls  Jazz  &  Hip-­‐Hop  Dance  Workshop  REGISTRATION       STUDENT’S  NAME:  __________________________________________________________     STUDENT’S  SCHOOL:  _______________________________________________________     AGE:  ______________GRADE  (2014-­‐15):  ________________     T-­‐SHIRT:  (CIRCLE  ONE  SIZE)   Youth  X-­‐Small  

Youth  Small  

Youth  Large  

Adult  Small  

Adult  Large  

Adult  XL  

Youth  Medium   Adult  Medium    

 

Adult  2X  (+$3)  

  PARENT  NAME  (S):  __________________________________________________________     CELL  PHONE  #(S):  ___________________________________________________________     HOME  PHONE  #:  _____________________________________________________________     EMERGENCY  CONTACT  (S):  ________________________________________________     EMERGENCY  PHONE  #:  _____________________________________________________     FOOD  ALLERGIES:  ___________________________________________________________     Please  drop  off  payment  with  this  registration  form  to  the   Westwood  High  School  Dance  Studio  or  Main  Office.     Make  checks  payable  to  Westwood  High  School.  Write  DANCE  on  the  FOR   line.  Please  include  phone  number